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Atrial Septal Defect Device Closure. Is Balloon Sizing Necessary? Publisher



Eshraghi A1 ; Aghaeimoghadam E2, 3, 4 ; Zeinaloo A2, 3, 4 ; Malakan Rad E2, 3, 4 ; Zanjani KS2, 3, 4 ; Ghalibafan SF5
Authors
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Authors Affiliations
  1. 1. Children’s Hospital of Fatemeh Masoumeh, Qom University of Medical Sciences, Qom, Iran
  2. 2. Children’s Medical Center (Pediatric Center of Excellence), Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Pediatric Department, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Pediatric and Adolescent Cardiovascular Research Center, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Mashhad University of Medical Sciences, Mashhad, Iran

Source: Iranian Journal of Pediatrics Published:2021


Abstract

Objectives: This study compared the success rate of atrial septal defect device closure in children with and without balloon sizing during the procedure. Methods: This four-year, combined retrospective and prospective study was performed at a single center. All participants underwent transcatheter closure under transthoracic echocardiography and the success rate was analyzed considering the effect of balloon sizing. Results: Eighty-eight patients with a mean age of 6.48 ± 3.32 years were enrolled. Balloon sizing was performedor in 39 (44%) patients. It didn’t change the success rate compared to 49 (56%) patients without balloon sizing. Likewise, age and sex had no effect on thesuccess rate. However; the failure rate was higher in patients with larger defects. Conclusions: The study demonstrated that balloon sizing did not influence the success rate of atrial septal defect device closure, and a precise measurement by echocardiography can be as successful as balloon sizing. © 2021, Author(s).